Provider Demographics
NPI:1972834232
Name:LUCAS, CAROLINE (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:LUCAS
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 COLLEGE ST
Mailing Address - Street 2:VCUHS AT MASSEY CANCER CENTER, PO BOX 980292
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-5017
Mailing Address - Country:US
Mailing Address - Phone:804-828-7999
Mailing Address - Fax:804-827-4150
Practice Address - Street 1:401 COLLEGE ST
Practice Address - Street 2:VCUHS AT MASSEY CANCER CENTER
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5017
Practice Address - Country:US
Practice Address - Phone:804-828-7999
Practice Address - Fax:804-827-4150
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168560363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care